A 63-year-old with HHS presents with glucose 980 mg/dL, pH 7.38, effective osmolarity 330 mOsm/kg, minimal ketones. Which is characteristic of HHS vs ...

Question

A 63-year-old with HHS presents with glucose 980 mg/dL, pH 7.38, effective osmolarity 330 mOsm/kg, minimal ketones. Which is characteristic of HHS vs DKA?

Accepted Answer

Effective osmolality >320 mOsm/kg with minimal ketonemia

Answer

Marked ketoacidosis (pH ≤7.3)

Answer

Serum bicarbonate ≤18 mEq/L

Answer

Anion gap metabolic acidosis predominates

Answer

Occurs only in type 1 diabetes

us-abem MCQ (SBA): Hyperosmolar Hyperglycemic State

A 63-year-old with HHS presents with glucose 980 mg/dL, pH 7.38, effective osmolarity 330 mOsm/kg, minimal ketones. Which is characteristic of HHS vs DKA?